Provider Demographics
NPI:1588202410
Name:ZANGAI, TONIA
Entity Type:Individual
Prefix:
First Name:TONIA
Middle Name:
Last Name:ZANGAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3116 TERRACE VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-6651
Mailing Address - Country:US
Mailing Address - Phone:510-300-7300
Mailing Address - Fax:
Practice Address - Street 1:3116 TERRACE VIEW AVE
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-6651
Practice Address - Country:US
Practice Address - Phone:510-300-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA268561164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse